Individual
JONATHAN D JAHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 E HANCOCK ST, NEWBERG, OR 97132-2825
(503) 538-2020
(503) 554-9549
Mailing address
307 E HANCOCK ST, NEWBERG, OR 97132-2825
(503) 538-2020
(503) 554-9549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD14241
OR
332H00000X
Eyewear Supplier
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142216
—
OR
Enumeration date
01/25/2007
Last updated
03/01/2017
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